VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pittsylvania County Community Action - Refuge Temple 1a and 1b
214 Clearview Drive
Martinsville, VA 24112
(434) 432-8911

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: April 19, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 PHYSICAL PLANT 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES 8VAC20-780 SPECIAL SERVICES. 22.1 EARLYCHILDHOOD CARE AND EDUCATION

Comments:

An unannounced monitoring inspection was conducted on 04/19/2022. There were 28 children, ages 3 years-5 years, and 7 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during arrival, circle time, having breakfast and in free choice play. A total of 5 children?s records, 5 staff records, and 3 medications were reviewed. The inspector discussed the following with the staff: allergies, room temperature, personal items and attendance. The inspector arrived for the inspection at 8:30 am and departed at 10:40 am. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 09/13/2021. The employment eligibility letter was dated 09/23/2021.
Plan of Correction:	Moving forward fingerprints will be obtained prior to hire date. Continue to document communication when fingerprints are not received in a timely manner.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 5 contained a documented hire date of 09/13/2021. The findings from the search of the central registry was dated 11/29/2021.
Plan of Correction:	Moving forward CPR & First Aid will be obtained within 30 days of employment.
Standard #:	8VAC20-780-80-A
Description:	Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The children of Classrooms 10 and 19 were observed during breakfast and the attendance had not yet been taken; the written attendance record did not document the arrival of each child as it occurred. 2. The attendance record for Classroom 10 did not have documentation of the departure of each child for the month of April 2022.
Plan of Correction:	Will meet with the staff and review.
Standard #:	8VAC20-780-280-B
Description:	Based on observations and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 2 aerosol spray bottles of disinfectant on a shelf in the restroom of Classroom 10; the disinfectants were accessible to children. 2. The closet that contained the cleaning supplies in the restroom of Classroom 10 was found unlocked and open; the closet contained cleaning supplies such as disinfectant sprays, disinfectant wipes, jugs of Clorox, Ajax, etc.
Plan of Correction:	The cleaning materials were locked during the inspection.
Standard #:	8VAC20-780-280-D
Description:	Based on observation and discussion with staff, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There were 2 aerosol spray bottles of disinfectant and a bottle of Tide laundry detergent on the same shelf as peanut butter, jelly, Nutella, and oranges in the restroom of Classroom 10.
Plan of Correction:	Will not store food with cleaning supplies.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: The children in Classroom 10 were observed during breakfast. The children were observed finishing their breakfast, throwing away their trash and immediately going to the carpet for Circle Time. The children did not wash their hands after breakfast.
Plan of Correction:	Will meet with the staff and review.
Standard #:	8VAC20-780-560-J
Description:	Based on observation and discussion, the center failed to ensure that tables are sanitized before and after each use for feeding. Evidence: The children in Classroom 10 were observed during breakfast. Following breakfast two of the three tables that were used for the meal were sprayed with a Bleach and Water solution and the solution was immediately wiped off; the solution was not allowed to air dry for the minimum requirement of 2 minutes to meet the definition of sanitizing. The third table used for breakfast was not sanitized after the meal, the table was observed to still have spilled juice on it approximately 20 minutes after breakfast was finished.
Plan of Correction:	Will meet with the staff and review.